MEDICARE: MATTHEW LANCE GARLAND MA , CH, LPCI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134398688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW LANCE GARLAND MA , CH, LPCI

Provider Business Mailing Address
First Line	:	2011 GREEN PARK AVE
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-6017
Country	:	US
Telephone Number	:	843-766-6278
Fax Number	:

Provider Business Practice Location Address
First Line	:	2366 ASHLEY RIVER RD
Second Line	:	BUILDING #8
City	:	CHARLESTON
State	:	SC
Zip	:	29414-4754
Country	:	US
Telephone Number	:	843-225-2024
Fax Number	:	843-225-2024

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	02/18/2009

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